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对于幕上双侧颅内动脉瘤,如能从一侧入路显露并夹闭所有动脉瘤,可免除二次手术。眼动脉起始部,后交通动脉起始部,颈内动脉终末分叉,前交通动脉起始部,大脑中动脉膝部分叉处,是前循环五个常见动脉瘤好发部位,通过一侧翼点入路显露对侧五个动脉瘤好发部位的显微解剖研究,评价一侧入路显露并夹闭双侧多发动脉瘤的可行性,对临床具有重要指导意义和应用价值。
For supratentorial intracranial aneurysms, secondary surgery can be dispensed with if revealing and clipping all aneurysms from one side. The starting part of the ophthalmic artery, the starting part of the posterior communicating artery, the terminating bifurcation of the internal carotid artery, the anterior communicating artery and the bifurcating part of the knee of the middle cerebral artery are five common aneurysms of the anterior circulation, The flanking point approach revealed the anatomic study of the five aneurysms on the opposite side of the aneurysm. To evaluate the feasibility of one-sided approach to reveal and occlude bilateral multiple aneurysms has important guiding significance and application value in clinic.